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2012 <br /> E FIL�q WITH Ex�mptiar� �4pp(i�ati�� �o�� <br /> ��° forTax Ex�mption an �R�a1 and Persanal Property q�y C�ua6ifying Organiza�ians ��� <br /> � GQUht7Y�,SSE$50R Read instructions on re�erse 5ide. <br /> Failure ta properly camplete csr file this applicatian in a timaly manner&hali result in a tlisa�prava[of the exemptibn. <br /> Vame of Or�ar,ita[ion Gounty Ccuny IV�. 'F'ype p{p•r�r:ersnip <br /> CHURCH OF GOD OF PROPHECY H�II 40 � �"-'�protitCorporatior <br /> Streei or 04h�r 1.9ai�ir�c�Address 5t�te INhere Ircnrfi�orated � Oth�r(Specityl <br /> 2108 N CUST�R C/O REV GEORGE JONES NEBRASKA <br /> �ity State iip Code Actual Vai•�e P�rcel or Lacatiar,Id NumL-er <br /> GRAN� 15LAND NE 68803 � 89,450 40D1D5225 <br /> Le�al des_�ipticn o`:real property and�enera;description of all langible p�rsonzl proparty,ex�:ept licensed moto;veh!cies: <br /> WADES SUB LOTS 1 &2 (162Q N BROADWELL AVE)#400105225 <br /> Title af Ofticers, <br /> Narrse Direckors.or Partners Address,City,5tate,Zip Cade <br /> ---•--------__�-••• •--•••-••._•--••-•_--•_--••-°-----°•-•_-------...----- --•�••_---- <br /> ------- ---------- -------- --•.•-••••..---•--•--•------- <br /> L}r � �' zg� �� <br /> t :fl � f�r � sr�� � <br /> .Ten n ' i ► ` fi .r- �.2c� c.ro 7s n� <br /> T �b` �....__...--n----°-!�nfE:�'--- <br /> .�.�..._N..d d e _ . _ - - ._x �.c.�r�.�..��Sl_-_....�N�-----�-��--- <br /> --- ..��_G?rCX1__��------ ��1_"_...__ .Tr��S.S�id.'�4 ..--� -:--�----�--------- <br /> c?-t` G_� 2��!`�G G� � �5�.�7,a r O.�.r>z Z-. F .M'a <br /> P/CF78�fif 4E5CI'IUZCI BYJTJV�'I5 LiSd(�I�fl t{1P.fDIIOW'Irl�P•Xf;"(��Jt L'.3t@(�Ofs�i(1fP.35L'ff13Y{C IhP.8�7(JI!C8F7I�hcxes): <br /> �A�riculturaJHcr.icultural 6ocieN° � Educa?io�ial �Religiou� �Charil�kla �Cemetery <br /> Giva a detsi!ed description of th^use of tha prope;ty: <br /> ',�grlcultural%rlorticultural Society does not need to cvmplete tha following questions. <br /> Is aIl oi?he proparty usad exc�usively as described abova? ,�YES �Np <br /> i���ioeYior.af tf�e prcperty�used tnt 4he saie ot alc:c�hioiic k�eve°ages? �Y�S �Nq If Yes,sta?e the nurnk�r�r�<hours per week <br /> Is the propeYy owncd ar usad by an organization whlch discriinirates in <br /> mEmberShip pr employment based on race,:.clor,or nation3!oriq;n7 �YES �Pd0 <br /> Under pcnalties cf Iaw,I de�are that I hav�examined inia exEmptioiz app;ication and,to the 6est of my know:edge ard beliei,it ia correct and <br /> enmpiefe.I a;so dsclare thzt I arn duly authcri9e.d t• "sign th;s e�ern)�ftnn application. <br /> ( <br /> r � <br /> i <br /> s�c�n � ��i � ^ r?�- I�-�.� yZ�JI <br /> ���� �Authorizad Signature 7itle t7ate <br /> - -• -----•-- ---�--°---_••-•---- -----------.•••-•••-•••-•-•-••••••.�-----•---------•---------_�_�_•�•_•••-••-......�-••••--.-------- <br /> I--- -- <br /> FQR Gpl1NTY ASSESSOR'S RECOMMENDATiON <br /> �A'PROV:aL CDMMEfJTS: ��n�.� C'1� ����� ^ _ <br /> � <br /> �,,; A?PR�JAL.OF A PORTiC�N <br /> ❑ �ISAP�RpVAL � _ <br /> Siyr.aiure r eu ity Assessor ❑ate <br /> -W--.••••.---•----------- --•----_-•-••••_ ------•------•---�•-,-•....----•°.�.•----°-•••••••••-.-•---------------_.._...--°-�•--•••••-••-••••••--•••-•-•••••-••••----- <br /> � F�R COUNTY 9CYAFt F�Q�ALlZATIQN USE f7MLY <br /> i decfare ti�at,tn t�ie rest of my Knr�wiedy°and�elief,ihe deierrninaUcn here6y na.de hy;he Go�.inty F,o�rd of Fr�uafiza9ion is.^.nrrect pursuant <br /> to�h.lav's of Yhe.�.'4ate of Ns6raaka. <br /> � Ai'PHpVEll GOMMEN'1-5: <br /> �; A?PR(JVP.L OF A PCJRTIPN <br /> •••-••--••-•.-•-•••-••-•••• --------- ,���..F_-----•---•-- -••••••�._�.,-----•••••_••••-°------------•••°-----•-----•--•-�..�...�••-••••••.•--•••-�•• <br /> ❑ DISAPPHGV:.D /��f� <br /> � <br /> . ynature u aurty q-+ .1e i�er [l <br /> Vehraska Dspnr;ment uf flevgnue �utho;;zed 6y Neh.Fnv.Stxt.g77-�02.01 <br /> .6-133-7999r7eV.7•c0705uFtl�`ades96-185�999Rtiv.71-?OOB <br /> DEC 2 3 2011 <br /> PLEASE MAK�A COPY FflR YOIiR A�C�7RD5 <br /> HGRAND�LAND,NEBRAS�A <br />